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Laparoscopic Repair of a Morgagni-Larrey Hernia: Report of Three Cases

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Morgagni-Larrey hernia is a rare type of diaphragmatic hernia, the diagnosis of which is made incidentally by routine chest X-ray film. We describe a technique for the laparoscopic repair of Morgagni-Larrey hernia which was successfully performed in three adult patients; two women and one man. Two of the patients were asymptomatic and had herniation of only omentum into the right hemithorax; however, one was symptomatic and had herniation of the omentum and large bowel. Tension-free closure of the defects was done using Prolene mesh with a hernia stapler, helical fastener, and Endostitch. There were no early complications and the patients were discharged on the fourth postoperative day. The mean follow-up period was 41 months, and there has been no late morbidity or mortality related to this procedure. Using a laparoscopic approach to repair a Morgagni-Larrey hernia provides an excellent view of the surgical field and allows easy manipulation with minimal surgical trauma, followed by rapid recovery of the patient.

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Received: May 9, 2001 / Accepted: March 5, 2002

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Ipek, T., Altinli, E., Yuceyar, S. et al. Laparoscopic Repair of a Morgagni-Larrey Hernia: Report of Three Cases. Surg Today 32, 902–905 (2002).

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